
<!-- http://premiumfreebies.eu/previews/SignUpForm/ -->
<html>
<head>
    <style type="text/css">

        body, html {
            margin:0;
            padding:0;
            font-family: "Helvetica Neue", HelveticaNeue, "Helvetica-Neue", Helvetica, "BBAlpha Sans", sans-serif;
            font-size: 12px;
            font-weight: normal;
            color: #222;
            background: #fdfdfd;
        }
        .wrapper {
            height:100%;
            min-width:100%;
        }
        .header {
        height:40px;
        border-bottom: 2px solid #b2b2b2;
        background: #424242 none;
        background: -webkit-gradient(linear,left top,left bottom,from(#505050),to(#343434));
        background: -moz-linear-gradient(top,#505050,#343434);
        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr=#FF505050,endColorstr=#FF343434);
        -ms-filter: "progid:DXImageTransform.Microsoft.gradient(startColorstr=#FF505050, endColorstr=#FF343434)";
        background: -ms-linear-gradient(top,#505050,#343434);
        background: -o-linear-gradient(top,#505050,#343434);
        }
        .header span {
            line-height: 40px;
            color: #fff;
            font-size: 18px;
            font-weight: bold;
            padding-left: 10px;
        }
        .header ul {
            float: right;
            margin-top: 7px;
            margin-right: 10px;
        }
        .header ul li {
            float: left;
            list-style: none;
            padding: 5px;
        }
        .header ul li a {
            color: #ccc;
            text-decoration: none;
            font-size: 13px;
        }
        .header ul li a:hover {
            color: #fff;
        }
        .content {
            position:absolute;
            top:43px;
            left:0px;
            right:0px;
            bottom:0;
            width:700px;
            margin: 0 auto;
        }
        .step {
            border: 1px solid #DDD;
            clear: left;
            font: 12px verdana;
            /*width: 500px;*/
            -khtml-border-radius: 3px;
            -moz-border-radius: 3px;
            -opera-border-radius: 3px;
            -webkit-border-radius: 3px;
            border-radius: 3px;
            padding: 10px 20px;
            background:#fff;
        }
        #step2, #step3, #step4 {
            display: none;
        }
        label {
            width:100px;
            float:left;
        }
        input[type=text] {
            width:200px;
        }
        #regionList {
            padding:7px;
            background:#efefef;
            width: 100%;
            font-size:25px;
            border:1px solid #9a9a9a;
        }
    </style>
    <link rel="stylesheet" type="text/css" href="css/dd.css" />
</head>
<body>
<div class="wrapper">
    <div class="header">
        <span>Draw Your Heart</span>
        <ul id="navigationLinks">
            <li>
                <a href="#">About</a>
            </li>
            <li>
                <a href="#">Contact</a>
            </li>
            <li>
                <a href="#">Credits</a>
            </li>
            <li>
                <a href="#">Visit Our Website</a>
            </li>
        </ul>
    </div>
    <div class="content">
    <p>Please complete the 3 steps to start drawing</p>
    <p>1 - 2 - 3</p>
        <form>
        <fieldset class="step" id="step1">
        <legend>Step1 - Tell us about yourself</legend>
        <!--<form name='newUser' action='register.php' method='post'>-->
        <p>
            <label>First Name:</label>
            <input type='text' name='firstname' />
        </p>
        <p>
            <label>Last Name:</label>
            <input type='text' name='lastname' />
        </p>
        <p>
            <label>City:</label>
            <input type='text' name='city' />
        </p>
        <p>
        <label>Country:</label>
        <select name="country">
        <option value="CA">Canada</option>
        <option value="US">United States of America</option>
        <option value="GB">United Kingdom</option>
        <option value="MX">Mexico</option>
        <option>-------------------------------</option>
        <option value="AF">Afghanistan</option>
        <option value="AL">Albania</option>
        <option value="DZ">Algeria</option>
        <option value="AS">American Samoa</option>
        <option value="AD">Andorra</option>
        <option value="AG">Angola</option>
        <option value="AI">Anguilla</option>
        <option value="AG">Antigua &amp; Barbuda</option>
        <option value="AR">Argentina</option>
        <option value="AA">Armenia</option>
        <option value="AW">Aruba</option>
        <option value="AU">Australia</option>
        <option value="AT">Austria</option>
        <option value="AZ">Azerbaijan</option>
        <option value="BS">Bahamas</option>
        <option value="BH">Bahrain</option>
        <option value="BD">Bangladesh</option>
        <option value="BB">Barbados</option>
        <option value="BY">Belarus</option>
        <option value="BE">Belgium</option>
        <option value="BZ">Belize</option>
        <option value="BJ">Benin</option>
        <option value="BM">Bermuda</option>
        <option value="BT">Bhutan</option>
        <option value="BO">Bolivia</option>
        <option value="BL">Bonaire</option>
        <option value="BA">Bosnia &amp; Herzegovina</option>
        <option value="BW">Botswana</option>
        <option value="BR">Brazil</option>
        <option value="BC">British Indian Ocean Ter</option>
        <option value="BN">Brunei</option>
        <option value="BG">Bulgaria</option>
        <option value="BF">Burkina Faso</option>
        <option value="BI">Burundi</option>
        <option value="KH">Cambodia</option>
        <option value="CM">Cameroon</option>
        <option value="IC">Canary Islands</option>
        <option value="CV">Cape Verde</option>
        <option value="KY">Cayman Islands</option>
        <option value="CF">Central African Republic</option>
        <option value="TD">Chad</option>
        <option value="CD">Channel Islands</option>
        <option value="CL">Chile</option>
        <option value="CN">China</option>
        <option value="CI">Christmas Island</option>
        <option value="CS">Cocos Island</option>
        <option value="CO">Colombia</option>
        <option value="CC">Comoros</option>
        <option value="CG">Congo</option>
        <option value="CK">Cook Islands</option>
        <option value="CR">Costa Rica</option>
        <option value="CT">Cote D'Ivoire</option>
        <option value="HR">Croatia</option>
        <option value="CU">Cuba</option>
        <option value="CB">Curacao</option>
        <option value="CY">Cyprus</option>
        <option value="CZ">Czech Republic</option>
        <option value="DK">Denmark</option>
        <option value="DJ">Djibouti</option>
        <option value="DM">Dominica</option>
        <option value="DO">Dominican Republic</option>
        <option value="TM">East Timor</option>
        <option value="EC">Ecuador</option>
        <option value="EG">Egypt</option>
        <option value="SV">El Salvador</option>
        <option value="GQ">Equatorial Guinea</option>
        <option value="ER">Eritrea</option>
        <option value="EE">Estonia</option>
        <option value="ET">Ethiopia</option>
        <option value="FA">Falkland Islands</option>
        <option value="FO">Faroe Islands</option>
        <option value="FJ">Fiji</option>
        <option value="FI">Finland</option>
        <option value="FR">France</option>
        <option value="GF">French Guiana</option>
        <option value="PF">French Polynesia</option>
        <option value="FS">French Southern Ter</option>
        <option value="GA">Gabon</option>
        <option value="GM">Gambia</option>
        <option value="GE">Georgia</option>
        <option value="DE">Germany</option>
        <option value="GH">Ghana</option>
        <option value="GI">Gibraltar</option>
        <option value="GB">Great Britain</option>
        <option value="GR">Greece</option>
        <option value="GL">Greenland</option>
        <option value="GD">Grenada</option>
        <option value="GP">Guadeloupe</option>
        <option value="GU">Guam</option>
        <option value="GT">Guatemala</option>
        <option value="GN">Guinea</option>
        <option value="GY">Guyana</option>
        <option value="HT">Haiti</option>
        <option value="HW">Hawaii</option>
        <option value="HN">Honduras</option>
        <option value="HK">Hong Kong</option>
        <option value="HU">Hungary</option>
        <option value="IS">Iceland</option>
        <option value="IN">India</option>
        <option value="ID">Indonesia</option>
        <option value="IA">Iran</option>
        <option value="IQ">Iraq</option>
        <option value="IR">Ireland</option>
        <option value="IM">Isle of Man</option>
        <option value="IL">Israel</option>
        <option value="IT">Italy</option>
        <option value="JM">Jamaica</option>
        <option value="JP">Japan</option>
        <option value="JO">Jordan</option>
        <option value="KZ">Kazakhstan</option>
        <option value="KE">Kenya</option>
        <option value="KI">Kiribati</option>
        <option value="NK">Korea North</option>
        <option value="KS">Korea South</option>
        <option value="KW">Kuwait</option>
        <option value="KG">Kyrgyzstan</option>
        <option value="LA">Laos</option>
        <option value="LV">Latvia</option>
        <option value="LB">Lebanon</option>
        <option value="LS">Lesotho</option>
        <option value="LR">Liberia</option>
        <option value="LY">Libya</option>
        <option value="LI">Liechtenstein</option>
        <option value="LT">Lithuania</option>
        <option value="LU">Luxembourg</option>
        <option value="MO">Macau</option>
        <option value="MK">Macedonia</option>
        <option value="MG">Madagascar</option>
        <option value="MY">Malaysia</option>
        <option value="MW">Malawi</option>
        <option value="MV">Maldives</option>
        <option value="ML">Mali</option>
        <option value="MT">Malta</option>
        <option value="MH">Marshall Islands</option>
        <option value="MQ">Martinique</option>
        <option value="MR">Mauritania</option>
        <option value="MU">Mauritius</option>
        <option value="ME">Mayotte</option>
        <option value="MI">Midway Islands</option>
        <option value="MD">Moldova</option>
        <option value="MC">Monaco</option>
        <option value="MN">Mongolia</option>
        <option value="MS">Montserrat</option>
        <option value="MA">Morocco</option>
        <option value="MZ">Mozambique</option>
        <option value="MM">Myanmar</option>
        <option value="NA">Nambia</option>
        <option value="NU">Nauru</option>
        <option value="NP">Nepal</option>
        <option value="AN">Netherland Antilles</option>
        <option value="NL">Netherlands (Holland, Europe)</option>
        <option value="NV">Nevis</option>
        <option value="NC">New Caledonia</option>
        <option value="NZ">New Zealand</option>
        <option value="NI">Nicaragua</option>
        <option value="NE">Niger</option>
        <option value="NG">Nigeria</option>
        <option value="NW">Niue</option>
        <option value="NF">Norfolk Island</option>
        <option value="NO">Norway</option>
        <option value="OM">Oman</option>
        <option value="PK">Pakistan</option>
        <option value="PW">Palau Island</option>
        <option value="PS">Palestine</option>
        <option value="PA">Panama</option>
        <option value="PG">Papua New Guinea</option>
        <option value="PY">Paraguay</option>
        <option value="PE">Peru</option>
        <option value="PH">Philippines</option>
        <option value="PO">Pitcairn Island</option>
        <option value="PL">Poland</option>
        <option value="PT">Portugal</option>
        <option value="PR">Puerto Rico</option>
        <option value="QA">Qatar</option>
        <option value="ME">Republic of Montenegro</option>
        <option value="RS">Republic of Serbia</option>
        <option value="RE">Reunion</option>
        <option value="RO">Romania</option>
        <option value="RU">Russia</option>
        <option value="RW">Rwanda</option>
        <option value="NT">St Barthelemy</option>
        <option value="EU">St Eustatius</option>
        <option value="HE">St Helena</option>
        <option value="KN">St Kitts-Nevis</option>
        <option value="LC">St Lucia</option>
        <option value="MB">St Maarten</option>
        <option value="PM">St Pierre &amp; Miquelon</option>
        <option value="VC">St Vincent &amp; Grenadines</option>
        <option value="SP">Saipan</option>
        <option value="SO">Samoa</option>
        <option value="AS">Samoa American</option>
        <option value="SM">San Marino</option>
        <option value="ST">Sao Tome &amp; Principe</option>
        <option value="SA">Saudi Arabia</option>
        <option value="SN">Senegal</option>
        <option value="SC">Seychelles</option>
        <option value="SL">Sierra Leone</option>
        <option value="SG">Singapore</option>
        <option value="SK">Slovakia</option>
        <option value="SI">Slovenia</option>
        <option value="SB">Solomon Islands</option>
        <option value="OI">Somalia</option>
        <option value="ZA">South Africa</option>
        <option value="ES">Spain</option>
        <option value="LK">Sri Lanka</option>
        <option value="SD">Sudan</option>
        <option value="SR">Suriname</option>
        <option value="SZ">Swaziland</option>
        <option value="SE">Sweden</option>
        <option value="CH">Switzerland</option>
        <option value="SY">Syria</option>
        <option value="TA">Tahiti</option>
        <option value="TW">Taiwan</option>
        <option value="TJ">Tajikistan</option>
        <option value="TZ">Tanzania</option>
        <option value="TH">Thailand</option>
        <option value="TG">Togo</option>
        <option value="TK">Tokelau</option>
        <option value="TO">Tonga</option>
        <option value="TT">Trinidad &amp; Tobago</option>
        <option value="TN">Tunisia</option>
        <option value="TR">Turkey</option>
        <option value="TU">Turkmenistan</option>
        <option value="TC">Turks &amp; Caicos Is</option>
        <option value="TV">Tuvalu</option>
        <option value="UG">Uganda</option>
        <option value="UA">Ukraine</option>
        <option value="AE">United Arab Emirates</option>
        <option value="UY">Uruguay</option>
        <option value="UZ">Uzbekistan</option>
        <option value="VU">Vanuatu</option>
        <option value="VS">Vatican City State</option>
        <option value="VE">Venezuela</option>
        <option value="VN">Vietnam</option>
        <option value="VB">Virgin Islands (Brit)</option>
        <option value="VA">Virgin Islands (USA)</option>
        <option value="WK">Wake Island</option>
        <option value="WF">Wallis &amp; Futana Is</option>
        <option value="YE">Yemen</option>
        <option value="ZR">Zaire</option>
        <option value="ZM">Zambia</option>
        <option value="ZW">Zimbabwe</option>
        </select>
        </p>
        <p>
            <label>Email:</label>
            <input type='text' name='email' />(we will not spam you)
        </p>
        <p>
            <label>Age:</label>
            <input type='text' name='age' />
        </p>
        <p>
            <label>Phone number:</label>
            <input name='telephone' type='text'>
        </p>
        <p>
        <p class="whyTitle">Why are you drawing your heart?</p>
        <textarea name='why'></textarea>
        </p>
        <p><input type="checkbox" name="agreement"/> I Agree to the Terms and Conditions</p>
        <br>
        <input type='button' value='Register' onclick="validateForm()"/>
        </p>
        <!--</form>-->
        </fieldset>
        <fieldset class="step" id="step2">
            <legend>Step2 - Choose Your Region</legend>
            <select id="regionList">
                <option selected="selected">Choose Your Region</option>
                <option value="Canada1" title="assets/icons/canada.png">CANADA (EN)</option>
                <option value="US1" title="assets/icons/usa.png">USA (EN)</option>
                <option value="US2" title="assets/icons/usa.png">USA (SP) - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/uk.png">UK - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/uae.png">UAE - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/mexico.png">MEXICO - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/spain.png">SPAIN - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/india.png">INDIA - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/romania.png">ROMANIA - (Stay tuned!)</option>
                <option value="UK" title="assets/icons/turks.png">TURKS & CAICOS - (Stay tuned!)</option>
            </select>
        </fieldset>
        <fieldset class="step" id="step3">
            <legend>Step3 - Make a Donation</legend>
            <p>Payment</p>
            <input type="button" value="Make a donation" ><!--onclick="makePayment()"-->
            <label>$5.55</label>
        </fieldset>
        </form>
    </div>
</div>
</body>
<script type="text/javascript" src="js/jquery-1.8.3.min.js"></script>
<script type="text/javascript" src="js/jquery.dd.js"></script>
<script type="text/javascript">
    function validateForm(formObj) {
        $("#step1").fadeOut(300, function() {
            $("#step2").css('display','block');
        });
    }
    $("#regionList").change(function() {
        $("#step2").fadeOut(300, function() {
            $("#step3").css('display','block');
        });
    });
    function makePayment() {
        $("#step3").fadeOut(300, function() {

        });
    }
</script>
</html>